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1. Your 29 year old. female patient reports paresthesias down the ulnar side of her arm.
The pain is present at rest. Upon palpation you notice that several of her muscles along
the ulnar distribution are tender to palpation. What are you thinking this could be? -
ANSWER Cervical & Shoulder girdle peripheral nerve entrapment neuropathy
2. A 59 y.o. man reports to the clinic with nagging shoulder pain. Upon palpation, he states
that it is very tender along the vertebral border of the scapula. This patient has a hx of
smoking. You ask him if the pain has ever progressed to a burning nature down the ulnar
distribution. He states "yes." What are you thinking? - ANSWER Pan coast's Tumor
3. Pt. reports to clinic with s/s consistent of rotator cuff tear. He has lost strength in ABD &
ER. However, the pain is very deep & poorly localized. Which nerve would you start to
consider? - ANSWER Supra scapular nerve
-Traction MOI
-Hx of fracture of scapula involving the notch/blade of scapula
-compression of supra scapular nerve
4. Pt. has a hx of traction force/blunt trauma to his shoulder. You ask him to perform
flexion and shoulder abduction, but he can barely hold it. Which nerve are you
considering? - ANSWER Axillary nerve
5. Your 14 y.o. male golfer reports to clinic with obvious winging of the scapula. You
perform MMT of the serratus anterior, and he receives a 3+. Which nerve may be
impacted? - ANSWER Long Thoracic Nerve
, 6. What are the red flag s/s of a primary brain tumor? - ANSWER Age 20-64
headache
ataxia
speech deficits
sensory abnormalities
Visual changes
seizures
altered mental status
GI signs of vomiting & symptoms of nausea
altered mental status
7. Your patient has a hx of HTN, smoking and alcohol abuse (idiot). He suddenly has the
WORST headache of his entire life, and you note that during treatment he comes in/out
of consciousness. You decide to call 911. What are you considering is wrong with this
patient? - ANSWER Stroke
Subarachnoid Hemorrhage
8. Your 40 y.o. patient who had a viral infection about 1 month ago, reports that she has
recently been very sleepy, confused and has had several headaches. She has GI
symptoms of vomiting & symptoms of nausea. During your treatment she has a brief
seizure. You freak out, because that shit is scary. You send her to urgent care
immediately. What are you concerned about? - ANSWER Meningitis
9. Your 75 y.o patient has recently experienced a fall onto their bottom while slipping on
some ice. They also have a PMH of taking corticosteroids. When you see this patients for
back pain, they won't allow anything except light palpation due to pain. What are you
thinking could be causing this patients back pain? - ANSWER Spinal fracture